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CITY OF ORONO PERMIT NO.: 2011-00781 <br /> � 2750 KELLEY PARKWAY <br /> � ORONO, MN 55356- DATE ISSUED: 08/02/20ll <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2715 CASCO POINT RD <br /> PIN : 20-117-23-23-0005 <br /> LEGAL DESC : AUDITOR'S SUBD.NO. 265 <br /> : LOT 005 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> COI�ISTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATTON : $ 6,200.00 <br /> NOTE: 1 CARRIER NA1'GAS FUKNACF, <br /> 1 CARRIER 2.5 TON AC <br /> APPLICANT MECHANICAL 77.50 <br /> CENTER POINT ENERGY MINNEGASCO STATE SURCHARGE MECH (VALUATION) 3.10 <br /> 9320 EVERGREEN BLVD NW <br /> SUITE B MAIL-IN FEE 2.00 <br /> COON RAPIDS, MN 55433 MISC FEE 0.00 <br /> (763)757-6202 TOTAL 82.60 <br /> OWNER <br /> JUNGELS, KE[TH <br /> 4612 DEXTER AVE <br /> EDINA,MN 55424 <br /> AGREEMENT AND SWORN STATEMENT <br /> I'he work for which this permit is issued shall be performed according to <br /> the approved plans and specifications,applicable City approvals,and the <br /> State Building Code. This permit is for only the work described and does <br /> not grant permission for additional or related work which requires separate <br /> permits. All provisions of laws and ordinances governing this type of work <br /> shall be compied with whether or not specified herein.This permit will <br /> expire and become null and void if construction authorized is not <br /> commenced within 180 days of the date of issuance,or if construction is <br /> suspended for a period of 180 days at any time after work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cmuse. <br /> �/�j(� (�y�. � � `[}//i-�"-�'� l l <br /> Applicant Permitee Signature Date Issued By gnature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED A VE. <br />